Study on the Effect of Pharmacists Intervention on Opioid Treatment and Management in Outpatients with Cancer Pain under MDT Mode
- VernacularTitle:MDT模式下药师参与门诊癌痛患者阿片类药物治疗管理的作用研究
- Author:
Xiaolin ZHENG
1
;
Huihua LIN
2
;
Long ZHANG
1
;
Yaming PAN
1
;
Youhua LIANG
1
Author Information
1. Dept. of Pharmacy，Liuzhou Municipal People’s Hospital，Guangxi Liuzhou 545006，China
2. Dept. of Obstetrics，Liuzhou Municipal People’s Hospital，Guangxi Liuzhou 545006，China
- Publication Type:Journal Article
- Keywords:
Multidisciplinary team mode;
Outpatient with cancer pain;
Opioids;
Medication compliance;
Life quality;
ADR
- From:
China Pharmacy
2020;31(6):750-754
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE：To eval uate the effect of pharmacists intervention on opioid treatment and management in outpatients with cancer pain under multidisciplinary team （MDT）mode. METHODS ：Totally 120 outpatients with cancer pain were selected from outpatient department of our hospital from Jan. 2016 to Dec. 2018，and divided into observation group and control group according to random number table method ，with 60 cases in each group. After 1 month follow-up ，patients in the control group were given opioid analgesics and routine intervention according to pain degree ，while patients in the observation group were given same treatment as control group and pharmacist intervention based on MDT. The pain condition ，medication compliance condition ， quality of life （QOL）score，the incidence of ADR and satisfaction degree were observed in 2 groups before and after intervention . RESULTS：Follow-up were completed in 2 groups. After intervention ，NRS scores of 2 groups were significantly lower than before intervention；the observation group was significantly lower than the control group ；medication compliance scores and QOL scores of 2 groups were significantly higher than before intervention ，the observation group was significantly higher than the control group at the same time . With the prolongation of treatment time ，the number of patients with mild pain and general medication compliance in 2 groups increased gradually ，and the observation group were significantly higher than the control group at the same time；the number of patients with moderate , severe pain and low medication compliance were significantly decreased gradually ， and the observation group was significantly lower than the control group at the same time. The number of patients with good medication compliance in the observation group was significantly higher than that in the same group before intervention and the control group at the same time （P＜0.05 or P＜0.01）. There was no significant difference in the incidence of ADR between 2 groups（P＞0.05）. The satisfaction of pain control results ，doctors’treatment and pharmacists follow-up in the observation group were significantly higher than control group （P＜0.05 or P＜0.01）. CONCLUSIONS ：Under MDT mode ，pharmacists participating in the management of opioid treatment for cancer pain outpatients can effectively relieve the pain ，and improve the medication compliance and quality of life .
